JACKIE E. MCHENRY II (NPI# 1649252057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649252057 |
| Entity Type | Individual |
| Full Name | JACKIE E. MCHENRY II |
| Credential | M.D. |
| Practice Address |
140 Burke Calhoun City Rd Calhoun City MS 38916 |
| Mailing Address |
1111 N Causeway Blvd Mandeville LA 70471-3409 |
| Practice Telephone | 6626286300 |
| Mailing Telephone | 9857731844 |
| Mailing Fax Number | 9858938272 |
| Enumeration Date | 2005-11-20 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14485 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00113820 | 05 | |
| RAILROAD MEDICARE | 080185585 | 01 |
| Street Address |
140 BURKE CALHOUN CITY RD |
| City | CALHOUN CITY |
| State | MS |
| Zip Code | 38916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620123 | Jessica Baskerville | Physical Therapist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2019-10-17 |
| 1205499639 | Dobbs Emergency Group, LLC | Hospitalist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2019-04-22 |
| 1669953964 | Natalie Mangum Lee | Speech-Language Pathologist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2018-08-24 |
| 1427538305 | Beverly Cole Baker | Occupational Therapist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2018-08-20 |
| 1598245565 | Christine Tran | Physical Therapist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916 | 2018-08-18 |
| 1881142461 | Baptist Memorial Hospital-calhoun Inc | General Acute Care Hospital | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2016-09-13 |
| 1144776329 | Baptist Memorial Hospital-calhoun Inc | Medicare Defined Swing Bed Unit | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2016-08-29 |
| 1639325038 | Calhoun Health Services | Nursing Facility/Intermediate Care Facility | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2008-08-18 |
| 1467608869 | Calhoun Health Services | General Acute Care Hospital | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2008-08-18 |
| 1003062407 | Calhoun Health Services | General Acute Care Hospital | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225580046 | Wade Clinic LLC | Nurse Practitioner | 206 E Taylor Ave, Calhoun City, MS 38916 | 2016-10-27 |
| 1407302151 | Webster Health Services, Inc | Clinic/Center | 595 East Veterans Avenue, Suite B, Calhoun City, MS 38916 | 2016-08-31 |
| 1801029467 | Family Health Care Clinic, Inc. | Clinic/Center | 125 Carter Street, Calhoun City, MS 38916 | 2009-08-31 |
| 1740462563 | Blount Medical LLC | Durable Medical Equipment & Medical Supplies | 132 A Public Square, Calhoun City, MS 38916 | 2007-12-04 |
| 1508995499 | Michelle Rice | Nurse Practitioner | 120 Burke Calhoun City Rd, Calhoun City, MS 38916 | 2007-03-05 |
| 1669510798 | Calhoun City Medical Clinic | Family Medicine | 120 Burke - Calhoun City Road, Calhoun City, MS 38916 | 2007-02-01 |
| 1467515544 | Malcom Ray Teas | Chiropractor | 239 Hwy 8 East, Teas Chiropractic Clinic, Calhoun City, MS 38916 | 2006-12-19 |
| 1447324876 | Health Care Engineers, LLC | Clinic/Center | 105 Legion Ave, Calhoun City, MS 38916 | 2006-11-18 |
| 1316036395 | Jimmy Gage Dobbs | Dentist | 104 North Main Street, Calhoun City, MS 38916 | 2006-10-11 |
| 1093811903 | Calhoun Health Services Nursing Home | Nursing Facility/Intermediate Care Facility | 152 Burke Calhoun City Rd, Calhoun City, MS 38916 | 2006-09-16 |
| Find all providers in zip 38916 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669510798 | Calhoun City Medical Clinic | Family Medicine | 120 Burke - Calhoun City Road, Calhoun City, MS 38916 | 2007-02-01 |
| 1659325306 | Ava Lynn Stegall | Family Medicine | 112 Medical Arts Dr, Calhoun City, MS 38916-9721 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | CALHOUN CITY |
| Zip Code | 38916 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.